Dextromethorphan uye Quinidine

Zvemukati

• Usati watora dextromethorphan uye quinidine,
• Iko kusanganiswa kwe dextromethorphan uye quinidine kunogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukasira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

Iko kusanganiswa kwe dextromethorphan uye quinidine inoshandiswa kurapa pseudobulbar inokanganisa (PBA; mamiriro akangoerekana aitika, kuchema kana kuseka izvo zvisingakwanise kudzorwa) kune vanhu vane mamwe mamiriro senge amyotrophic lateral sclerosis (ALS, chirwere chaLou Gehrig; mamiriro umo tsinga dzinodzora kufamba kwemhasuru dzinofa zvishoma nezvishoma, zvichikonzeresa mhasuru kudzikira uye kushomeka) kana multiple sclerosis (chirwere umo tsinga dzisingashande nemazvo uye varwere vanogona kusangana neutera, chiveve, kurasikirwa kwekufambidzana kwemhasuru uye matambudziko nemaonero, kutaura, uye kudzora kwedundira). Dextromethorphan iri mukirasi yemishonga inonzi inonzi central nervous system agents. Nzira iyo inoshanda muuropi kurapa PBA haina kuzivikanwa. Quinidine iri mukirasi yemishonga inonzi antiarrhythmics. Kana ichibatanidzwa ne dextromethorphan, quinidine inoshanda nekuwedzera huwandu hwe dextromethorphan mumuviri.

Iko kusanganiswa kwe dextromethorphan uye quinidine kunouya sekapuleti kutora nemuromo. Inowanzo kutorwa pamwe kana pasina chikafu kamwe pazuva pazuva kwemazuva manomwe. Mushure memazuva manomwe, inotorwa maawa gumi nemaviri. Usatore anodarika maviri madosi mumaawa makumi maviri nemana. Ive neshuwa yekutendera maawa gumi nemaviri pakati peimwe dosi. Tora dextromethorphan uye quinidine panguva dzakatenderedza nguva imwechete mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora mubatanidzwa we dextromethorphan uye quinidine chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Chiremba wako anogona kutarisa nguva nenguva kuti aone kana mushonga uyu uchiri kudiwa kuti udzore zviratidzo zvako. Tevera mazano aya zvakanyatsonaka.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora dextromethorphan uye quinidine,

• udza chiremba wako uye wemishonga kana uri weergoria kune dextromethorphan, quinidine (Quinidex), quinine (Qualaquin), mefloquine (Lariam), chero mimwe mishonga, kana chero chinhu chinosanganiswa musanganiswa dextromethorphan uye quinidine capsules. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako kana uri kutora mefloquine (Lariam), pimozide (Orap), quinine (Qualaquin) thioridazine, kana chimwe chigadzirwa chine quinidine (Quinidex). Chiremba wako anogona kukuudza kuti usatora dextromethorphan uye quinidine kana iwe uri kutora imwe kana yakawanda yemishonga iyi.
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: antidepressants anosanganisira clomipramine (Anafranil), desipramine (Doxepin, Sinequan), fluoxetine (Prozac, Sarafem), nefazodone, uye paroxetine (Paxil, Pexeva); aprepitant (Simbisa); clarithromycin (Biaxin, Prevpac); kukosora uye kutonhora mishonga ine dextromethorphan; cisapride; digoxin (Lanoxin, Digitek); erythromycin (EES E-Mycin, Erythrocin); fluconazole (Diflucan); itraconazole (Sporanox); ketoconazole (Nizoral); mimwe mishonga yehutachiona hwehutachiwana hwevanhu (HIV) senge atazanavir (Reyataz), amprenavir (Agenerase), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, muKaletra), uye saquinavir (Invirase); mishonga yekusagadzikana kwemoyo kurova senge amiodarone (Cordarone), diltiazem (Cardizem, Cartia, Tiazac, vamwe), disopyramide (Norpace), dofetilide (Tikosyn), procainamide (Procanbid, Pronestyl), sotalol (Betapace), uye verapamil (Calan, Covera, Isoptin, Verelan, muTarka); mishonga yekurwadziwa senge codeine, hydrocodone (muHydrogesic, Lorcet, Lortab, Vicodin, Zydone, vamwe), uye methadone; moxifloxacin (Avelox); sparfloxacin (Zagam); uye teliththromycin (Ketek). Uyezve udza chiremba wako kana wemishonga kana uri kutora mishonga inotevera kana kuti warega kuinwa mukati memavhiki maviri apfuura: MAO inhibitors anosanganisira isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl ), Uye tranylcypromine (Parnate). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana ne dextromethorphan uye quinidine, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
• udza chiremba wako kana iwe kana wakambove nemamiriro ezvinhu anotevera uchitora quinidine, quinine, kana mefloquine: kuderera muhuwandu hwamasero eropa mumapfupa ako, lupus (mamiriro umo muviri unorwisa ayo matukisi achikonzera kukuvara uye kuzvimba. ), kana hepatitis (kuzvimba kwechiropa). Uyezve udza chiremba wako kana iwe kana wakambove neakajairika moyo mutinhimira kana moyo kutadza. Chiremba wako angangokuudza kuti usatorextromethorphan uye quinidine.
• udza chiremba wako kana iwe wakambove kana neimasthenia gravis (kusagadzikana kwehurongwa hwemitsipa hunokonzeresa kushomeka kwemhasuru), nhoroondo yekushandisa zvinodhaka mumugwagwa kana kunwa mishonga zvisirizvo, BP, sitiroko, mashoma potasium kana magnesium mu ropa rako, kana moyo, itsvo, kana chirwere chechiropa.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora musanganiswa we dextromethorphan uye quinidine, fonera chiremba wako.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora dextromethorphan uye quinidine.
• iwe unofanirwa kuziva kuti dextromethorphan uye quinidine zvinogona kukuita dzungu. Izvo zvakakosha kuti uchenjere kudzivirira kudonha iwe uchinwa mushonga uyu.
• bvunza chiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa uchiri kutora dextromethorphan uye quinidine. Doro rinogona kuita kuti mhedzisiro kubva kumushonga iyi iwedzere.

Taura nachiremba wako nezve kudya mazambiringa uye kunwa jisi remuzambiringa paunenge uchitora mushonga uyu.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.

Darika iro rakarasika dosi uye tora iyo inotevera dosi panguva yakajairwa nguva. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika. Ive neshuwa yekutendera maawa gumi nemaviri pakati pemadhosi.

Iko kusanganiswa kwe dextromethorphan uye quinidine kunogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• manyoka
• kurutsa
• gasi
• kurwadziwa nemudumbu
• kukosora
• kuoma maziso kana muromo
• kushaya simba
• mhasuru
• kuzvimba kwemaoko, tsoka, makumbo, kana makumbo ezasi
• kazhinji, zvinorwadza, kana kuoma kuita weti
• makore kana weti inonhuwa-yakasimba

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukasira:

• kupindwa nechando
• kubuda ropa zvisina kujairika kana kupwanya
• mhasuru kana kurwadziwa kwemajoini
• mapundu
• kuzvimba kwechiso, huro, rurimi, kana miromo
• kuzvimba lymph nodes
• hoarseness
• kunetseka kufema
• musoro wakareruka
• kufenda
• kukurumidza moyo kurova

Iko kusanganiswa kwe dextromethorphan uye quinidine kunogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye kunze kwekusvika kwevana nezvipfuwo. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Panzvimbo iyoyo, nzira yakanakisa yekurasa mishonga yako ndeyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe uye kusvika kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakavharira makapu ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye kubva kwavari uye kusvika. http://www.upandaway.org

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

• kusvotwa
• kurutsa
• manyoka
• dzungu
• musoro
• kurira munzeve
• kusaona kana kuona zvakapetwa
• kuvhiringidzika
• shanduko mukurova kwemoyo
• kunetseka kufema
• kurasikirwa kwekuziva
• pfari
• shanduko mumhasuru yekufungisisa
• kurasikirwa kwekubatana
• mufaro usina kujairika
• kufunga zvisina kujairika

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anogona kuraira mamwe marabhoritari bvunzo kuti atarise mhinduro yemuviri wako kune dextromethorphan uye quinidine. Chiremba wako anogona zvakare kuraira electrocardiogram (ECG; bvunzo inoyera chiitiko chemagetsi mumoyo) usati uye panguva yekurapa kwako.

Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

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